Lisa Gaye Simon LAC

NPI 1770610388 - Counselor - 101Y00000X

NPI Details
NPI 1770610388
Gender Female
Enumeration Date 02/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3431 4TH AVE SW
SUITE H
FARGO ND, 58103-2227, US
Phone (701) 298-8108
Fax (701) 297-7901
Business Location
3431 4TH AVE SW
SUITE H
FARGO ND, 58103-2227, US
Phone (701) 298-8108
Fax (701) 297-7901
Toxanomy
Taxonomy Code 101Y00000X
License State North Dakota
License Number 1318
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According to our database, Ms. Lisa Gaye Simon LAC NPI is 1770610388, taxonomy code is 101Y00000X and license number is 1318, license state is located at North Dakota. Lisa Gaye Simon LAC physically located at 3431 4th Ave Sw, Fargo ND, 58103-2227. NPI Number Lisa Gaye Simon LAC has the Individual type.

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1770610388 NPI number is provided on an as is basis without warranty of any kind. 1770610388 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Gaye Simon LAC are for informational purposes only.